Gamma-glutamyl metformin inhibits renal cell carcinoma progression by activating AMPK signaling pathway
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Updated: May 26, 2026

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Published on: June 20, 2015
Zheng Lv1,2, Li Song Zhang3, Awuti Aisha4
1Department of Urology, Central Hospital, Tianjin University/Tianjin Third Central Hospital, Tianjin, China.
Abstract:
Metformin is a promising candidate for the treatment of renal cell carcinoma (RCC), and elucidating its anti-tumor mechanisms is of great clinical significance. Overexpression of Gamma-glutamyl transpeptidase (GGT) in RCC tissues has been identified as a potential biomarker for renal cell tumors. Thus, there is an urgent need to develop a metformin prodrug that leverages the overexpression specificity of GGT in RCC tissues to achieve targeted release of metformin for RCC therapy. Herein, we innovatively report the development and the antitumor activity of gamma-Glutamyl Metformin (γE-Met), which exerts its effects by activating AMP-activated protein kinase (AMPK) signaling pathway. Compared with metformin, γE-Met specifically releases free metformin in renal cancer cells under the catalysis of GGT, thereby prolonging the retention time of metformin in tumor cells and more effectively inhibiting the growth and metastasis of renal cancer cells. Our experimental results demonstrate that GGT-responsive γE-Met can significantly enhance the therapeutic efficacy of metformin, rendering it a promising metformin prodrug with substantial clinical application prospects.
Insights
A novel gamma-glutamyl metformin (γE-Met) prodrug targets renal cell carcinoma (RCC) by leveraging Gamma-glutamyl transpeptidase (GGT) overexpression. This GGT-responsive drug enhances metformin
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Metformin shows potential for renal cell carcinoma (RCC) treatment, but its anti-tumor mechanisms require further elucidation.
- Gamma-glutamyl transpeptidase (GGT) is overexpressed in RCC tissues, serving as a potential biomarker.
- Targeted drug delivery systems are needed to enhance metformin's efficacy in RCC therapy.
Purpose of the Study:
- To develop and evaluate a novel metformin prodrug, gamma-Glutamyl Metformin (γE-Met), for targeted RCC therapy.
- To investigate the GGT-specific release of metformin from γE-Met in RCC cells.
- To assess the anti-tumor activity of γE-Met by activating the AMP-activated protein kinase (AMPK) signaling pathway.
Main Methods:
- Synthesis and characterization of gamma-Glutamyl Metformin (γE-Met).
- In vitro studies assessing GGT-catalyzed metformin release in RCC cells.
- Evaluation of γE-Met's effect on cell growth, metastasis, and AMPK pathway activation.
- Comparison of therapeutic efficacy between γE-Met and metformin.
Main Results:
- γE-Met specifically releases metformin in GGT-overexpressing RCC cells.
- The prodrug prolongs metformin retention time within tumor cells.
- γE-Met significantly inhibits renal cancer cell growth and metastasis.
- Activation of the AMPK signaling pathway was observed.
Conclusions:
- GGT-responsive γE-Met demonstrates enhanced therapeutic efficacy compared to metformin for RCC.
- γE-Met represents a promising metformin prodrug for targeted RCC treatment.
- The development of γE-Met holds substantial clinical application prospects.
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